The most important thing that you can do is to test for warts, which are infections caused by the human papillomavirus and are found on the external genital and anal areas. If a woman can touch the skin around the vulva or anus with her hands, she can determine if she has warts by touching the bumps or growths, because warts can be detected by their appearance. Condyloma acuminatum is not painful or itchy and is usually difficult to detect. So women can often touch their vulva or vaginal wall with their hands to know if they have warts.